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2015 College Fair - Representative Registration

* Name of College or University:

* Name and Title of Representative:

I am an alumni representative:

* Address:

* City:

* State:

* Zip:

* Phone Number:

Fax Number:

* Email:

* Number of Representatives Attending:

* Please check the event(s) you will attend:

LCC Event:
(Oct. 20 - 9 am - 3 pm)

Union Missionary Baptist Church:
(Oct. 20 - 6 - 8 pm)


Check if the school will need a table cover:

I require a vegetarian meal:


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